No work-life balance; they will be ok with you working 50-60 hours a week with no praise or appreciation. Market Directors and Area Vice Presidents are completely out of touch with reality when it comes to managing their centers. There is no comprehensive OM training, you just get slapped on the wrist for not knowing what you don't know. Area Vice President sends an insane amount of emails copying the whole region and berating centers who are having trouble meeting goals, going through a rough patch, etc. without paying mind to the context of the clinic. The amount of changes that happen simultaneously paired with very poor communication makes for a huge disaster. Overall, the amount of effort you put in gets you nothing in return. The company harps on feedback but I never had any kind of formal review. They treat everyone like they are disposable.